2023-04-07_HYDROLOGY - M1983194 (9)

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FORM APPROVED OMB UNITED STATES Form 3160-5 No. 1004-0137 Expires: (June 2019) DEPARTMENT OF THE INTERIOR December 31,2024 BUREAU OF LAND MANAGEMENT 5.Lease Serial No. COC-0119985 SUNDRY NOTICES AND REPORTS ON WELLS 6 If Indian,Allotteeor Tribe Name Do not use this form for proposals to drill or to re-enter an abandoned well.Use Form 3160-3(APD)for such proposals. SUBMIT IN TRIPLICATE-Other instructions on page 2 7.If Unit of CA/Agreement,Name and/or No. 1.Type of Well ❑Oil Well ❑Gas Well ©Other &Well Name and No.MWA-2 2.Name of Operator Natural Soda LLC 9.API Well No. 3a.Address 3200 Rio Blanco County Rd 31 3b.Phone No.(include area code) 10.Field and Pool or Exploratory Area Rifle,CO.81660 (970)878-3674 Piceance Creek Basin 4.Location of Well(Footage,Sec.,T.,R.,M.,or Survey Description) 11.Country or Parish,State 1526 FNL,2019 FEL,S21,T1S,R98W,6th PM Rio Blanco County,CO 12.CHECK THE APPROPRIATE BOX(ES)TO INDICATE NATURE OF NOTICE,REPORT OR OTHER DATA TYPE OF SUBMISSION TYPE OF ACTION ©Notice of Intent ❑Acidize ❑Deepen ❑Production(Start/Resume) ❑Water Shut-Off ❑Alter Casing ❑Hydraulic Fracturing ❑Reclamation ❑Welf Integrity ❑Subsequent Report ❑Casing Repair ❑New Construction ❑Recomplete ❑Other ❑Change Plans ©Plug and Abandon ❑Temporarily Abandon ❑Final Abandonment Notice ❑Convert to Injection ❑Plug Back ❑Water Disposal 13. Describe Proposed or Completed Operation:Clearly state all pertinent details,including estimated starting date of any proposed work and approximate duration thereof If the proposal is to deepen directionally or recomplete horizontally,give subsurface locations and measured and true vertical depths of al I pertinent markers and zones.Attach the Bond under which the work will be performed or provide the Bond No.on file with BLMBIA,Required subsequent reports must be filed within 30 days following completion ofthe involved operations.If the operation results in a multiple completion or recompletion in a new interval,a Form 31604 must be filed once testing has been completed.Final Abandonment Notices must be filed only after all requirements,including reclamation,have been completed and the operator has detennined that the site is ready for final inspection.) All depths referenced to GL.Remove all existing surface and downhole equipment from well. Nipple up to wellhead,run in hole with bit and casing scraper to approximately 947 feet,airlift and clean hole as necessary. Run in the hole with a 6.5-inch bit to 1,200 feet and circulate and clean hole.Mix and pump 60.6 bbls(12.6 cubic yards)of Portland Type IIII cement down hole(Based on 10%excess). Top off as necessary,cut off casing 3-5 feet below surface,reclaim pad. 14.1 hereby certify that the foregoing is true and correct. Name(PrintedTTyped) Gerald J Daub Title President Daub&Associates, Inc. Signature Date 1_-7 e 7 Z THE SPACE FOR FEDERAL OR STATE OFICE USE Approved by ------------------------------------------------------------------------ Fide Date Conditions of approval,if any,are attached.Approval of this notice does not warrant or certify that the applicant holds legal or equitable title to those rights in the subject lease Office which would entitle the applicant to conduct operations thereon. Title 18 U.S.0 Section 1001 and Title 43 U.S.0 Section 1212,matte it a crime for any person knowingly and willfully to make to any department or agency of the United States any false,fictitious or fraudulent statements or representations as to any matter within its jurisdiction. (Instructions on page 2)